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PT-07-535Owner Information Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138-0000 Phone: (305)795 -2204 Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $1.50 $67.30 Authorized Signature: Owner / Applicant / Contractor / Agent Building Department Copy Address Phone umais 357 NE 97 Street Miami Shores Village, FL Cell JASON ALDERMAN 357 NE 97 Street MIAMI FL 33138- (305)539 -7249 Valuation: Total Sq Feet $ 1,00 0 Type of Work: Exterior Color. BEIGE Additional Info: Classification: Residential Color. BEIGE Approved Color. BEIGE Approved Code Comments: SW6115 TOO DARK - TRY SW Color. BEIGE Denied Total Amt Paid I Amt Due $ 0.00 $ 0.00 Payment Type: G 0 r, PAID Ulit1i $ 0.0 Available Inspections: Inspection Type: Final 1 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. May 04, 2007 Date Friday, May 4, 2007 1 05 cfCLL BUILDING 03 � 1 Q1 0 �" PERMIT APPLICATION �� m � FBC 2004 Tenant/Lessee Name /tee Job Address (where the work is being done) 3 Al F / , .51-1C-4",L FOLIO / PARCEL # Contractor's Company Name Contractor's Address City Qualifier Name State Certificate Notary $ 5 Is Building Historically Designated YES NO V A � - , r Registrat Training/Education Fee $ Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 0.020 hone # Zip Phone # Certificate of Competency No. Permit Nb. oi Master Permit No. MAR 1 9 1007 Y: Permit Type (circle): Building / Electrical Plumbin Mechanical Roofing r _ n v+; PA • ' Owner's Name (Fee Simple -`� a older) •o(Q50,N R. f+(deA a"� ¢ Phone # 3 057537 ` 9 f CC"fti Owner's Address 33 No F P' 5*e_c city A): cai a: JkoALe5 State Fi Zip 33 /3 1 Phone # /1/ 7/÷ City Miami Shores Village County Miami -Dade Zip 3 3 4 8 Architect/Engineer's Name (if applicable) Phone # Value of Work For this Permit $ J 0 Type of Work: ❑Addition ❑Alteration ew ❑ Repair/Replace Describe Work: Gl= �+- T C� 4- �S•c�C �i�J 6 Square / Linear Footage Of Work: ❑ Demolition Submittal Fee $ Permit Fee $ ' CCF $ © CO /CC Technology Fee $ I •( Scanning $ Radon $ DPBR $ Zoning $ Double Fee $ n ° � 0 3 PAftJ Bond $ Code Enforcement $ Structural Review. $ Total Fee Now Due $ (07e ` I1)Zh See Reverse side ---> Bonding Company's Name (if applicable) Bonding Company's Address ■ City State Zip Mortgage Lender's,Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that.no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jj ii sdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, IIEATERS, TANKS and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature 1 Owner or Agent The fore t 1: n trument was ac .I .w ledged bef +r; me thi day o � ► � 1 4 ,. _ 20 �I�� , by t A ii• A � „ who is personally known to me or who has produced 16 _POI 9— As identificatioj an l whc '; 1 a .rigth � - Commission #DD2319. � o Ex Bonded flirt.; cy.....9 °eem At1 tic [Wilding Sign: Print: My Commiss ' n Expires: NOTARY P ! : C: APPLICATION APPROVED BY: (Revised 02/08/06) Signature Contractor The foregoing instrument was acknowledged before me this day of ,20_,by who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: /57 Plans Examiner Engineer Zoning Date: Owner's Name: j NN a v— ( C( .- t'`"t Phone #: �a S �" 72 Y1 Job Address (where the work is being done): 35 '9t City: Miami Shores Village County: Miami -Dade Zip: YES NO Is Building Historically Designated ?: Contractor's Company Name (if applicable): Phone #: / 1 1 Walls: / Fascia: ([ Drip Cap/Drip Ede: /4* Soffit: / 1-/ i 2 oof: a (1 Flower Bins: Shutters: Awnings: Chimney: Doors and Door J Garage Doors: Railings: Fences: Decorative Metal: All elements on the site must be listed and indicate the color to be painted All brick (simulated or regular): Stucco Banding: Any other Stucco Features: Accessory Buildings: Other: OW do S APPLI 'ATIO APPROVED BY: Miami Shores Village Paint Color Approval and Agreement 11. Attach color Samples with numbers 6 I 4.( AVIT: I certify that all the foregoing information is accurate and that all work will be with all app . laws regulating construction and zoning. Owner or gent P & Z O'FI, AL Date: Date: * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Number: PT -3 -07 -535 Invoice Number: PT -3 -07 -27886 Applicant: JASON ALDERMAN Company Name: Owner Address: 357 97 Street NE MIAMI, FL 33138- Job Address: 357 97 Street NE Miami Shores Village, FL Date Friday, August 3, 2007 08/03/2007 Check Payment Type Check Number 1026 Amount $67.30 Change $0.00 Total Payment: $67.30 Page 1 of 1 PAINTING THE HOUSE ® 6 MR Passed Inspector Comments ®e o 0'7 ! Failed Correction Needed Re- Inspection Fee ($75) No Additional Inspections can be scheduled re- inspection fee is paid . until Inspection Date: 08/03/2007 Inspector: Rodriguez, Jorge Owner: ALDERMAN, JASON Job Address: 357 97 Street NE Miami Shores Village, FL Project: <NONE> Contractor: HOME OWNER Building Department Comments Thursday, August 2, 2007 Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number (305)539 -7249 Parcel Number 1132060135750 Lot: Page 2 of 2